Venice Presbyterian Church VBS Registration
Email *
REGISTRATION CLOSES JUNE 16th AT 6:00 PM.
CHILDREN AGE 4 THROUGH ENTERING 6TH GRADE
Child's First Name *
Child's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Child's Age *
Grade Entering (school year 2023-24) *
Allergies / Medical Concerns *
Address *
Parent / Guardian  Name *
Emergency Contact Name *
Emergency Contact Phone Number *
Parent Email Address *
Church Affiliation
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms